Healthcare Provider Details

I. General information

NPI: 1447168067
Provider Name (Legal Business Name): GUAJOME LEARNING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N SANTA FE AVE
VISTA CA
92083-1534
US

IV. Provider business mailing address

2000 N SANTA FE AVE
VISTA CA
92083-1534
US

V. Phone/Fax

Practice location:
  • Phone: 760-631-8500
  • Fax:
Mailing address:
  • Phone: 760-631-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: ADRINA ITZAINA
Title or Position: DEVELOPMENT SPECIALIST
Credential:
Phone: 760-631-8500